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4 <br />L <br />F_ <br />L <br />.nnr r^ATrr%Lr r ^n PART1 a OMBAdproril No. d3b114m <br />HrrL1�.r► l turn run <br />: DATESUaMITTEO <br />Applicant Identifier <br />FEDERAL ASSISTANCE <br />02 -21 -92 <br />NONE <br />1. TYPE OF SUBMISSION., <br />& DATE RECEIVED BY STATE. <br />State Application Identifier <br />AppGratJan Prtrapp(it�ldn <br />❑ Construction. ❑ Consttuodon <br />4. DATEREOF[VED BY FEDERAL AGENCY <br />Federal Identifier <br />❑ Non-Canstrucdon ❑ Nen•Constrttcdon <br />5 APPUCANT INFORMATION <br />Legal Name: <br />ORA M CQNTY <br />Organizational Unit <br />COI141rY GOVERNMENT <br />Address (give dry, country, stare, and zip cedes: <br />Name and telephone number of the person to be contacted an matters <br />Orange County <br />involving this application (give area code): <br />P.O_ Hox 8181 <br />Kathy Mangum, RSVP Director <br />Hillsborough, NC 27278 <br />(919) 968 -6060 <br />6. EMPLOYER IDENTIRCATION NUMBER (EIN) <br />-7 TYPE OF APPLICANT: (eater apprapni&S loner in box) <br />S 6 — 6 1 0 1 0 0 3 1 2 1 7 <br />A. Size H. Independent School District <br />B. County I. State Controlled Ins:idnion of Higher Learning <br />C. Municipal J. Private University <br />D. Township K. Indian Trioe <br />a TYPE OF APPLICATION: <br />❑ New Cominuanon ❑ Revision <br />E. Interstate L Individual <br />It Revision, enter appropriate latter(s) in bax(es): Q <br />F. Irdermunicipai M_ Profit Organization <br />G_ Special District N. Other (Specify): <br />A. In=ase Award 3. Decease Award C. Increase Duration <br />D. Decrease Duration Other (speafy): <br />9. NAME OFFEDERALAGENCY: <br />ACTION <br />id. CATALOG NCENU NUMBER: DOMESTIC r <br />ASSISTANCE NUMBER: '] 2 0 0 2 <br />It DESCR1PTIVETIT LEOFAPPUCANTSPR=CT. The O.C. Retired <br />Senior Voluntsier Progr m provides for individ als EO & <br />-1 ._. RETIR® SENIOR VOLUNTEER PROGRAM <br />the rncc m;ty to serve the cam=ties ncnr :rcfi <br />a?er1Cies thr ut h meanirY�1_f7 �7 and reaardirg volunteer <br />pla its. Pl - xzraits are b5-d Cn the volunteer's <br />' <br />~ FF. A. SAFP' cC" c] BYPROUEC7 {c:tles,rurr(7es.s>eres. =rc.j: <br />Hillsborough, Chapel Hill, <br />C�1��r Q���t mtp�`'tSr did the i� of the <br />naxrboxo <br />Orange County, North Carolina <br />agercies. [�nCies are r�uire2 to ati -nit aetaild <br />jcb des=ipticns of each assigm-Ent. <br />i2 PRCPOSED PRCJECT: I ;a. CONGRESSIONAL DISTRICTS OF: Reqi5n <br />Iv <br />Start Date <br />Encing Date <br />a. Applicant <br />b. Project <br />07 -01 -92 <br />06-30 -93 <br />Fourth <br />Fourth <br />:5. _5 TIMATED FUNDING: <br />14 IS APPLICAMN SUBJECT TO REVIEW BY STATE EXECUTIVE ORDER 12272 PROcss.37 <br />a. YES. THIS PREAPPLICATION /APPLICATION WAS MADE AVAILABLE TO THE <br />a' ederal <br />$ 37,515 •00 <br />STATE <br />EXECUTIVE ORDER 12372 PROCESS FOR REVIEW ON: <br />b. Applicant <br />S ,DO <br />35,645 <br />DATE <br />c. State <br />S .00 <br />__0_ <br />b_ NO. ❑ <br />PROGRAM IS NOT COVERED BY E 0. 12372 <br />d. Local <br />S .DD <br />13,177 <br />❑ <br />OR PROGRAM HAS NOT SEET4 SELECTED BY STATE FOR REVIEW <br />e. Other <br />S DO <br />f. Program Income <br />S .AQ <br />17. t5 THE APPLICANT DELINQUENT ON ANY FEDERAL DEBT? <br />C3 Yes If 'Yes; <br />attach an explanation. EX No <br />g. TOTAL <br />$ ,DO <br />86,337 <br />t8. TO THE BEST OF MY KNOWLEDGE AND BELIEF. ALL DATA IN THIS APPUCAT1ON/PREAPPUCATION ARE TRUE AND CORRECT. THE DOCUMENT HAS BEEN DULY <br />AUTHORIZED BY THE GOVERNING BODY OF THEAPPUCANTAND THE APPLICANT WILL COMPLY WITH THE ATTACNED ASSURANCES IFTHE ASSISTANCE IS AWARDED <br />a. Typed Name of Authorized Representative <br />b Title <br />a Telephone Number <br />Moses <br />�Cr?±;:i. <br />(919) - 732 -0181 <br />_ <br />F Eilrarige -.eo. <br />2125 <br />d Sign f Audx=ed Rep <br />e. Date Signed 91 <br />9 <br />'03 -10-92 <br />rage i <br />aurKarn I aan *WA (NW. 4.68) I- rvraww Cp OMB 09r A-1 Q2 <br />1. <br />